
R-Jay Frayalde
Claims Specialist

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About me
Nurse Case Management Team Manager • Nurse Case Manager • MBA in Heathcare Management • Bachelor of Science in Nursing • Postgraduate Diploma in Healthcare Management and Leadership • Certified Professional Coder
Education

Our Lady of Fatima University
2005 - 2009Bachelor of Science - BS Nursing
Westford University College
2017 - 2017Postgraduate Advanced Diploma Healthcare Management and LeadershipAwarded by Cambridge International Qualifications

Università degli Studi Guglielmo Marconi
2017 - 2019Master of Business Administration - MBA Healthcare Management
Experience

WellCare Health Plans
May 2010 - May 2011Claims Specialist
NEXtCARE
Jun 2011 - Nov 2015Team Leader - Pre-Authorization Department
Cigna Healthcare
Dec 2015 - nowMiddle East and AfricaClinical Team Middle EastClinical Team Middle EastClinical Team
Nurse Manager
Apr 2023 - nowNurse Case Management Supervisor
Feb 2022 - Mar 2023Nurse Case Management Lead Analyst
Dec 2015 - Jan 2022
Licenses & Certifications

Certified Professional Coder
AAPC- View certificate

International Markets Emerging Leaders Program
CignaJan 2022
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